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PRP injections for tendonosis

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PRP injections for tendonosis

Post by mikenall on Thu Feb 16, 2017 4:49 pm

Has anyone ever tried a PRP injection to treat tendonosis?  I have literally had a pain in the butt for years.  I have been using gel cushions at work, home and in the car for quite a while, and recently it has progressed to the point where I had an ortho take a look at it.  I had it xrayed about 7 or 8 years ago and they said there was nothing I could do outside of surgery,  The xray shows crystallization where the hamstring attaches to the pelvic bone, resulting in irritation every time I sit down.   The ortho at that time called it pseudogout, and said there was nothing I could do outside of surgery.  Several months ago I again pursued my options, and was prescribed PT and told to get an ultrasound.  The ultrasound indicated "well corticated ossification" where the tendon attaches the hamstring to the ischial tuberosity.  Basically, the last part of the tendon has turned into bone, and the part of the tendon adjacent to that is irritated and constantly inflamed.  They have suggested PRP therapy which takes your own blood, runs it through a centrifuge, and then uses the part consisting of concentrated red blood cells and repair and growth agents, and injects this into the damaged area, promoting healing.  Any thoughts or experience with this?

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Re: PRP injections for tendonosis

Post by mikenall on Sat Mar 04, 2017 9:42 pm

I got the PRP injection last Tuesday in my proximal hamstring. It's not just an injection.
The description from the  report -
4. PROCEDURE:
a) Procedure Details:A 20g spinal needle was inserted into the right
hamstring tendon origin using ultrasound guidance.50 dry needle passes
were performed. 3 mL of injectate was injected into the tendon The
needle was removed. Images were stored to the digital archive
documenting needle position.
b) Injectate Contents:
3 mL PRP

The doctor said what they did was equivalent to re-breaking a bone so it could be set properly.  The 50 dry needle passes were an attempt to break up the bone that has formed at the end of the tendon.  The PRP injection is meant to enhance the healing process that will hopefully occur now.  We'll see how this goes.  Crutches for 7 days. No stretching at all for 21 days,  It's going to be a while before I run again.

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Re: PRP injections for tendonosis

Post by Gary E on Mon Mar 06, 2017 10:31 pm

Hoping for the best of outcomes for you.  Please keep us posted.
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Re: PRP injections for tendonosis

Post by mikenall on Mon Mar 20, 2017 8:02 pm

3 weeks tomorrow.  Dr. today told me to start back with gentle stretching. Light swimming - 10 minutes or so.  Cycling with a road bike type seat if there is no discomfort.  Physical therapy next Monday and then update the doctor in 4 more weeks.  Based on progress, might suggest another injection, end of treatment, or surgery.  Basically spending all my time either standing or laying down.  Literally and figuratively a pain in the ass.  More updates later

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Re: PRP injections for tendonosis

Post by Gary E on Mon Mar 20, 2017 8:41 pm

Mike, were you able to drive? How about work, were you standing there all day too? Did you have enough fine wine to get you through all that? I really hope this works for you because you really deserve it after all you've been through. Pulling for you, buddy!
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Re: PRP injections for tendonosis

Post by Dave Tuttle on Wed Mar 22, 2017 5:47 pm

PITA for sure Mike... Hang in there!

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Re: PRP injections for tendonosis

Post by mikenall on Tue Apr 04, 2017 9:00 pm

5 weeks and 1 day since procedure. Went to my 2nd physical therapy appt. yesterday. i said "This is going to take a long time isn't it?" She slowly shook her head yes. On the first visit last week she asked me what my goals were. I told her to do a triathlon in July. Her comment... "You can't even sit down". I looked at the electronic health record after the first visit and read that their goal for me was to be able to sit comfortably for a hour, Goal date: June 26th. This is going to take a while.

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Re: PRP injections for tendonosis

Post by Gary E on Tue Apr 04, 2017 9:31 pm

I sure hope it is worth all that you are going through. Are you standing most of the day at work? How about sleeping through the night without accidentally rolling over?  I now envision you wearing a lifejacket while floating in tepid water all day.  I'd probably look like a raisin if I tried that.

Have you talked to anyone else that has had such a procedure? Inquiring minds need to know such details.
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Re: PRP injections for tendonosis

Post by EugeneRunner on Thu Apr 06, 2017 1:44 pm

Wow - that is a brutal recovery. Sorry to hear it is going to be such a long process.

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